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lication Fax-813-780-0021 <br /> s�3-�ao-oozo City of Zephyrhills Permit App ' <br /> Building Department <br /> ' Phone Contact for Permittin ��` 7 � ` /� <br /> Date Received o�� <br /> ��� / /1�`j �^ Owner Phone Number <br /> Owner's Name � ��� <br /> � 7S v �e U� �� Owner Phone Numbar <br /> Owner's Address � <br /> Owner Phone Number <br /> Fee Simple Titleholder Name <br /> Fee Simple Titleholder Address L J <br /> JOB ADDRESS <br /> c.� 7s4 � //� U�/�. LOT # <br /> �'� �Or �j , PARCEL ID# <br /> � y-�'-a.�-o�9d-o��o ���° <br /> SUBDIVISION (OBTAtNED PROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � <br /> SIGN [�] �] DEMOLISH <br /> INSTALL REPAIR <br /> SFR [� COMM [_] OTHER _ <br /> PROPOSED USE L� F�qME � STEEL Q � <br /> TYPE OF CONSTRUCTION Q BLOCK Q <br /> �-' JeL � �' Co�C �-�0� `/'� �.t�2 K,rr t- �i <br /> DESCRIPTION OF WORK �-� �Idr <br /> / <br /> BUILDING SIZE <br /> SQ FOOTAGE HEIGHT <br /> �BUILDING $ �� ��Q, � VALUATION OF TOTAL CONSTRUCTION <br /> —7 PROGRESS ENERGY Q W.R.E.C. <br /> �ELECTRICAL $ AMP SERVICE C_�1 <br /> �PLUMBING $ PA.SOOPERMITSERVICE <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��;3�47594 <br /> QGAS 0 ROOFING Q SPECIALTY �� OTHER YES NO ���� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 0 <br /> ` p ,� ���) COMPANY V `�-r°/' �`r �r�'�� . -1,//G. <br /> BUILDER ���/L REGISTERED Y! N FEE CURRE� Y/ N <br /> SIGNATURE <br /> � � yO ��,� � ��• License # <br /> Address <br /> COMPANY <br /> ELECTRICIAN REGISTERED Y I N FEE CURRE� Y I N <br /> SIGNATURE <br /> License # <br /> Address <br /> PLUMBER COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y I N <br /> SIGNATURE <br /> License # � <br /> Address <br /> COMPANY <br /> MECHANICAL REGISTERED Y I N FEE CURRE� Y! N <br /> SIGNATURE <br /> License # <br /> Address <br /> OTHER COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> SIGNATURE r <br /> License # I <br /> Address <br /> RESIDENTIAL Attach (2) Plot PlaWSO,�En S da s after dates Requ ed ons t�ConstructionePlans�rSte at � Plans wl Silt Fence installed, <br /> Minimum ten (10) g Y <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Min mu ( PO) days Psubmttal date. Required te) Construction lans Storm a eePl ns w/ Sil Fen e i stalled, <br /> Sanitary Facilities & 1 dumpster. Site Wor k Pe r m i t f o r a l l n e w p r o j e c t s. A l l c o m m ercial re quirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> **•`PROPERTY SURVEY required for all NEW constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (AIC upgrades over 5�500) <br /> *• Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences (PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />